Standale Chiropractic PC

NPI #1922301274 in Grand Rapids, Michigan

Provider Information

NPI Number: 1922301274
Entity Type: Organization
Organization Name: Standale Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Dec 8, 2010
Last Updated: Jan 28, 2014

Practice Location

Address: 4110 LAKE MICHIGAN DR NW
City: Grand Rapids
State: Michigan
ZIP Code: 49534-4527
Phone: (616) 453-3404

Authorized Official

Name: DR. BRANDON J BERG, DC
Title: PHYSICIAN
Phone: (616) 453-3404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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